Griffith Linda J
Dr. Griffith is Board Certified, American Board of Psychiatry and Neurology, American Board of Family Medicine, American Board of Hospice and Palliative Medicine, Certificate of Added Qualifications in Geriatrics; is Medical Director, Consolidated Care, Inc., Champaign, Logan, Union Counties, Ohio; and is Clinical Assistant Professor, Boonshoft School of Medicine, Wright State University, Dayton, Ohio;
Psychiatry (Edgmont). 2007 Dec;4(12):49-54.
Psychiatrists can offer much in the care of the person who is chronically mentally ill and who is dying of a medical illness. In community psychiatry, the psychiatrist and other members of the treatment team often care for a patient over many years, and gradually learn about a patient's wishes and preferences, strengths and limitations, areas of support, and lack thereof. A psychiatrist can combine this knowledge and understanding with a capacity for empathy in order to provide many of the necessary elements for palliative care, including psychotherapy, during the final phases of our patients' lives. The composite case presented in this article is the second installment about the treatment of a gentleman with chronic schizophrenia who was enrolled in hospice after his pulmonary and cardiac disease began to progress rapidly, and who believed that God and the devil were arguing over his eternal fate.
精神科医生在照顾患有慢性精神疾病且因躯体疾病濒临死亡的患者方面能发挥很大作用。在社区精神病学中，精神科医生和治疗团队的其他成员常常多年来一直照料同一位患者，逐渐了解患者的愿望和偏好、优势与局限、支持领域以及缺乏的方面。精神科医生可以将这些知识和理解与同理心相结合，以便在患者生命的最后阶段提供许多姑息治疗所需的要素，包括心理治疗。本文呈现的综合病例是关于一位患有慢性精神分裂症的绅士治疗情况的第二篇报道。该患者在肺部和心脏疾病开始迅速进展后进入临终关怀机构，他坚信上帝和魔鬼正在就他的永恒命运进行争论。
